MHK CareProminenceTM

Integrated medical and pharmacy management

The only platform that combines pharmacy and medical care, MHK CareProminence was purposely built to improve member care by closing care gaps while ensuring continual compliance with changing government regulations.

CMS Extends Integrated Denial Notice (IDN) Implementation

CMS Extends Integrated Denial Notice (IDN) Implementation

On March 30, 2020, CMS announced minor changes to the Notice of Denial of Medical Coverage (or Payment) Form CMS-10003 (also known as the Integrated Denial Notice or IDN). Due to these minor changes, CMS is extending the implementation date for both English and Spanish letters. Previously, the English version was to be implemented by April 1, 2020, and the Spanish letter implemented by April 15, 2020. The new implementation for both versions is no later than May 15, 2020.

The following changes have been made to the notice:

Addition of brackets, [ ], to the Medicaid only section “How to keep your services while we review your case”.

Addition of option to add appropriate timeframes under the “Fast Appeal” and “We’ll automatically give you a fast appeal…” sections.

Updated website address for Elder Care Locator in the “Get help & more information” section.

MHK, part of the Hearst Health network, is a Medical House of Knowledge, where care and knowledge converge. The only service provider that combines pharmacy and medical, MHK’s mission is to drive better member care in a changing healthcare environment by bringing every care moment in a person’s health journey together through an integrated platform. MHK is committed to helping health plans, PBMs, and provider organizations improve quality of care, enhance operational efficiency, maximize revenue, and meet compliance demands. Three of the top five and six of the top ten health plans are served by MHK and forty percent of all 4-5 Star Medicare health plans utilize MHK solutions.